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JESSICA PETERSON RD
NPI 1265778476
Nutritionist in Salem, OR

Active since December 14, 2012
966 12TH ST SE STE 130, SALEM, OR 97302(503) 814-4400 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Peterson Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA PETERSON RD (NPI 1265778476) is an individual nutritionist in Salem, Oregon and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1265778476
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameJESSICA PETERSONCredential: RD
Location Address966 12TH ST SE STE 130Salem, OR 97302-2860
Mailing Address966 12th St Se Ste 130Salem, OR 97302-2860
Phone(503) 814-4400
Sole ProprietorNo
Enumeration DateDecember 14, 2012
Last NPPES UpdateSeptember 20, 2016
✔ NPI 1265778476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
966 12TH ST SE STE 130, Salem, OR 97302
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHWETHA R GURRAM M.D
Family Medicine
966 12TH ST SE STE 130
SALEM, OR 97302
Marion County (503) 814-4400
JANE ELLEN BIRDSONG FNP-C
Family Medicine
966 12TH ST SE STE 130
SALEM, OR 97302
Marion County (503) 814-4400
SIDNEY THOMPSON PA-C
Physician Assistant
966 12TH ST SE STE 130
SALEM, OR 97302
Marion County (503) 837-6395
LUKE DANG
Pathology (Anatomic Pathology & Clinical Pathology)
966 12TH ST SE STE 130
SALEM, OR 97302
Marion County (503) 837-6395
RAE LYNN SIMMONS
Nurse Practitioner (Family)
966 12TH ST SE STE 130
SALEM, OR 97302
Marion County (503) 837-6395
MARTINA ANDREA SHANNON PA-C
Physician Assistant
966 12TH ST SE STE 130
SALEM, OR 97302
Marion County (503) 837-6395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Peterson's NPI number?

The NPI number for Jessica Peterson is 1265778476. It was assigned to this individual provider in the NPPES registry on December 14, 2012.

Where is Jessica Peterson located?

Jessica Peterson practices at 966 12th St SE Ste 130, Salem, OR 97302. The listed phone number is (503) 814-4400.

What is Jessica Peterson's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Jessica Peterson was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.